Good information on metabolism repair:

ElizabethKalmbach
ElizabethKalmbach Posts: 1,415 Member
edited December 23 in Health and Weight Loss
Anyone have good information/groups/articles on the best way to go about repairing/supporting a slow metabolism - particularly with regard to problems brought on by anemia and chronic autoimmune disorder, rather than calorie restriction?

I know *rest* is important and not overdoing things too quick, and obviously correcting the anemia is a priority, but since I seem to end up gaining 10 lbs or more every time my metabolism tanks due to anemia, I am not enjoying this trend. At all.
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Replies

  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    PS - I am under care of a proper doctor for the anemia and the chronic illnesses, but the doctor is more interested (rightly so) on tracking the source of anemia flares, rather than my general fitness. I would like to do what I can to support her efforts and maintain the rest of my meat suit while she considers test results and medication regimens.
  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    That doesn't sound right to me.

    Part of it does (less movement would have been good, but I have 2 dogs to walk to maintain my own sanity), but most of the anemia symptoms have to do with not enough oxygen in your blood. If they can calculate your RMR by VO2 max - essentially calculating your calorie burn based on how much oxygen you're converting to CO2 in respiration, then OBVIOUSLY not having enough oxygen in your blood is going to have an effect on your metabolism.

    My eating and movement really haven't changed much and I've put on 12 lbs in one month. That's a lot, considering I haven't been having a month long pizza bender. However if my RMR dropped to the mid 600's like it did LAST TIME I had anemia (5 years ago), then I've been seriously over eating, considering a normal RMR for a human my size should be in the 1200's somewhere - and since I normally get good results using things like MFP and a Fitbit without significant modification to any of the built in algorithms, I'm going to assume that my *normal* RMR isn't weird enough to make the equipment technician choke, run my test a second time, and then check the equipment on himself to make sure it still works.



  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    Again, I get that my case may not be *typical* and I'm under the care of a doctor for the really weird bits. I'm just looking for articles to read and things to try to support and improve my metabolism while the doctors and iron supplements do (or do not) their thing. These problems I'm having could take a while to solve, and I'm not down with gaining 12 lbs a month while I wait. I'm not even wanting to lose weight at the moment, because I don't want to take too many risks. I'm trying to identify what the risks may *be.*
  • chris_in_cal
    chris_in_cal Posts: 2,547 Member
    My eating and movement really haven't changed much and I've put on 12 lbs in one month.

    Something metastatic? A tumor?

  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    kshama2001 wrote: »

    I'm anemic myself and while I get extremely fatigued when it slips out of control, I haven't been considering it a slow metabolism, or a case of my metabolism needing repair, but simply fatigue due to insufficient hemoglobin to carry oxygen around efficiently.

    So I focus my efforts on getting my iron back up.

    I was first diagnosed with anemia over 30 years ago, but now that I am perimenopausal, with large uterine fibroids and very heavy periods, it takes more work to manage.
    1. I am currently taking iron bisglycinate. This doesn't give me the constipation or upset stomach side effects that other forms of iron can cause. The first two forms of iron I got from the VA were ineffective at getting both my iron and energy levels back up.
    2. Here is my new go-to dinner for the week of my period: https://www.allrecipes.com/recipe/186691/lisas-favorite-carne-asada-marinade/ I use chuck stew beef and cook it on Low in my crock pot for @ 8 hours.
    3. For lunch during my period I eat Wellshire Liverwurst; 2 oz = 35% RDA iron. If I can't make it to Whole Foods I get Boar's Head Liverwurst, 2 oz = 25% RDA iron. (For people who want more iron but don't like liver - neither do I; can't stand the stuff, but I do like liverwurst. Wellshire also makes turkey liverwurst. Less iron, but also less fat and calories. Last I checked this brand was exclusive to Whole Foods.)
    4. I've added chicken liver pate into the lunch rotation: https://cooking.nytimes.com/recipes/1012954-creamy-chicken-liver-pate 2 oz = 22% RDA iron (but a lot less calories and fat than liverwurst)
    5. Iron rich foods: https://www.redcrossblood.org/donate-blood/blood-donation-process/before-during-after/iron-blood-donation/iron-rich-foods.html (I discount foods that were fortified with iron as presumably the food manufacturers use cheap and potentially ineffective forms of iron.)
    6. I also mix 1 T of blackstrap molasses into a cup of warm water every morning. That gives me 20% RDA. Here's what I order https://smile.amazon.com/Wholesome-Sweeteners-Organic-Molasses-Pack/dp/B001M0G2PO/ but caution - this brand can leak, so best to not get anything else with that order. It was the cheapest, so I continued to put up with it. (Plus last time Amazon just credited me for the whole thing.) However, I see the price has almost doubled since I last ordered so maybe try to get locally instead. Old price was $21 for three 32 oz bottles. Last time I ordered blackstrap molasses was cheaper here: https://www.iherb.com/pr/Wholesome-Sweeteners-Inc-Organic-Molasses-Unsulphured-32-fl-oz-944-ml/34616 (Note: this comes in 16 oz and 32 oz.)
    7. Vitamin C helps with iron absorption and I mix powdered, buffered vitamin C into the molasses "tea" to create a dreadful concoction. https://smile.amazon.com/gp/product/B000I4AIUA/

    Thank you, this is some of the information I was looking for. I already have "pernicious anemia" under control with B12 injections. It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    I didn't know about the molasses, but I have some in the house for baking Christmas cookies. It's available locally at reasonable price, so I'll give that a whirl once I'm done with the static dose prescription supplement experiment I'm running on my body for the doc. ;-)

    :)

    The doctor is currently trying to work out if "regular supplementation" will solve the issue, or if I need something more extreme (Probably. My body does nothing by halves.). She's also trying to figure out if I'm *losing blood* somewhere or if I'm just not doing what needs to be done with the nutrients in my diet. For now, I'm on a prescription dose of ferrous sulfate and vitamin C for a month before another ferratin (and other) test to see if the problem is uptake or output or what.


  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    It doesn't seem logical to me that you would gain 12 actual FAT pounds in a month, it would appear that your body has increased its inflammation (water weight) due to the lack of iron and/or the autoimmune (inflammatory) disease.

    One thing for sure, the body will go to extremes to balance electrolytes, so no reason to think it isn't something more along the lines of increased fluid.

    I'm really hoping you're correct, as I am already a *champion fluid retainer.* My BP is a little high for me and my heart rate is up about 20bpm at rest. It's all rather freaky and sometimes I wish my MiBand didn't collect quite as much data as it does. Other times I'm happy to be able to hand my doctor charts and graphs so she can sort me out faster. :persevere:
  • LAT1963
    LAT1963 Posts: 1,375 Member
    Anemia-->less activity-->less metabolism. But I agree, 12 lbs in a month is gonna be water retention.
  • kshama2001
    kshama2001 Posts: 28,052 Member
    kshama2001 wrote: »

    I'm anemic myself and while I get extremely fatigued when it slips out of control, I haven't been considering it a slow metabolism, or a case of my metabolism needing repair, but simply fatigue due to insufficient hemoglobin to carry oxygen around efficiently.

    So I focus my efforts on getting my iron back up.

    I was first diagnosed with anemia over 30 years ago, but now that I am perimenopausal, with large uterine fibroids and very heavy periods, it takes more work to manage.
    1. I am currently taking iron bisglycinate. This doesn't give me the constipation or upset stomach side effects that other forms of iron can cause. The first two forms of iron I got from the VA were ineffective at getting both my iron and energy levels back up.
    2. Here is my new go-to dinner for the week of my period: https://www.allrecipes.com/recipe/186691/lisas-favorite-carne-asada-marinade/ I use chuck stew beef and cook it on Low in my crock pot for @ 8 hours.
    3. For lunch during my period I eat Wellshire Liverwurst; 2 oz = 35% RDA iron. If I can't make it to Whole Foods I get Boar's Head Liverwurst, 2 oz = 25% RDA iron. (For people who want more iron but don't like liver - neither do I; can't stand the stuff, but I do like liverwurst. Wellshire also makes turkey liverwurst. Less iron, but also less fat and calories. Last I checked this brand was exclusive to Whole Foods.)
    4. I've added chicken liver pate into the lunch rotation: https://cooking.nytimes.com/recipes/1012954-creamy-chicken-liver-pate 2 oz = 22% RDA iron (but a lot less calories and fat than liverwurst)
    5. Iron rich foods: https://www.redcrossblood.org/donate-blood/blood-donation-process/before-during-after/iron-blood-donation/iron-rich-foods.html (I discount foods that were fortified with iron as presumably the food manufacturers use cheap and potentially ineffective forms of iron.)
    6. I also mix 1 T of blackstrap molasses into a cup of warm water every morning. That gives me 20% RDA. Here's what I order https://smile.amazon.com/Wholesome-Sweeteners-Organic-Molasses-Pack/dp/B001M0G2PO/ but caution - this brand can leak, so best to not get anything else with that order. It was the cheapest, so I continued to put up with it. (Plus last time Amazon just credited me for the whole thing.) However, I see the price has almost doubled since I last ordered so maybe try to get locally instead. Old price was $21 for three 32 oz bottles. Last time I ordered blackstrap molasses was cheaper here: https://www.iherb.com/pr/Wholesome-Sweeteners-Inc-Organic-Molasses-Unsulphured-32-fl-oz-944-ml/34616 (Note: this comes in 16 oz and 32 oz.)
    7. Vitamin C helps with iron absorption and I mix powdered, buffered vitamin C into the molasses "tea" to create a dreadful concoction. https://smile.amazon.com/gp/product/B000I4AIUA/

    Thank you, this is some of the information I was looking for. I already have "pernicious anemia" under control with B12 injections. It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    I didn't know about the molasses, but I have some in the house for baking Christmas cookies. It's available locally at reasonable price, so I'll give that a whirl once I'm done with the static dose prescription supplement experiment I'm running on my body for the doc. ;-)

    :)

    The doctor is currently trying to work out if "regular supplementation" will solve the issue, or if I need something more extreme (Probably. My body does nothing by halves.). She's also trying to figure out if I'm *losing blood* somewhere or if I'm just not doing what needs to be done with the nutrients in my diet. For now, I'm on a prescription dose of ferrous sulfate and vitamin C for a month before another ferratin (and other) test to see if the problem is uptake or output or what.

    My pleasure!

    Note: it is blackstrap molasses, not regular, and not great for cooking as it is lower in sugar and so somewhat bitter. I ruined gingerbread with it once, and did not try to cook with it again. Wholesome Sweeteners has 20% RDA per T but many brands have less.

    Between supplements and food I have to take about 400% RDA of iron to stay in Low Normal.

    What is the form of iron that you are currently taking?
  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    kshama2001 wrote: »

    What is the form of iron that you are currently taking?

    The prescription is for 325mg of ferrous sulfate and 1000mg Vitamin C to be taken together on an empty stomach every other day. I'm sticking with the scrip for the first month, because after that, we'll do another ferritin test and see if my numbers change at all in expected or unexpected ways. My body does really unusual tricks so I try to comply with doctor's orders for limited testing periods like this month,so that they have good data for judging where to go next. We're only at the *beginning* of troubleshooting these (multiple) issues I'm having, and we're not entirely sure the iron isn't a symptom of something else or comorbid with something else.

    Mean time, I'm trying to offset setbacks in the rest of my life so that I'm not utterly despondent and depressed by the time someone figures me out.
  • magnusthenerd
    magnusthenerd Posts: 1,207 Member
    kshama2001 wrote: »

    My contribution would be akin to psuLemon's and maybe yours on vitamin c.

    About the only other thing would be looking over zinc intake. Zinc will compete with iron for gut intake.
    Might also be worth checking sources of iron. Heme iron from animal sources has a better absorption than plant sources.
  • kshama2001
    kshama2001 Posts: 28,052 Member
    kshama2001 wrote: »

    What is the form of iron that you are currently taking?

    The prescription is for 325mg of ferrous sulfate and 1000mg Vitamin C to be taken together on an empty stomach every other day. I'm sticking with the scrip for the first month, because after that, we'll do another ferritin test and see if my numbers change at all in expected or unexpected ways. My body does really unusual tricks so I try to comply with doctor's orders for limited testing periods like this month,so that they have good data for judging where to go next. We're only at the *beginning* of troubleshooting these (multiple) issues I'm having, and we're not entirely sure the iron isn't a symptom of something else or comorbid with something else.

    Mean time, I'm trying to offset setbacks in the rest of my life so that I'm not utterly despondent and depressed by the time someone figures me out.

    Ferrous sulfate was one of the forms my doctor had me take initially. It got my iron levels up, but not my energy levels. However, I do support you trying it for the month.
  • kshama2001
    kshama2001 Posts: 28,052 Member
    edited September 2019
    Anyone have good information/groups/articles on the best way to go about repairing/supporting a slow metabolism - particularly with regard to problems brought on by anemia and chronic autoimmune disorder, rather than calorie restriction?

    I know *rest* is important and not overdoing things too quick, and obviously correcting the anemia is a priority, but since I seem to end up gaining 10 lbs or more every time my metabolism tanks due to anemia, I am not enjoying this trend. At all.

    Because of my own experience with anemia, when you say "metabolism tanks" I hear "energy levels tank", so that is how I am framing my response.

    Normally I like to get about 400-500 calories worth of intentional exercise per day, and I also am doing a lot of random activity that keeps my NEAT high. (We have a great thread on NEAT here.)

    When my energy tanks, not only am I not exercising, I'm also NEATing much less. I work from home, and have recorded a mere 600 steps on these days. (And I don't eat less, partially because I am doing some comfort eating. Needless to say, this makes weight loss challenging, and facilitates weight gain.)

    I find the Spoon Theory useful for these low energy periods.

    https://en.wikipedia.org/wiki/Spoon_theory

    ...This metaphor is used to describe the planning that many people have to do to conserve and ration their energy reserves to accomplish their activities of daily living.[1] The planning and rationing of energy-consuming tasks has been described as being a major concern of those with chronic and fatigue-related diseases, illness, or conditions. The theory explains the difference between those who don't seem to have energy limits and those that do. The theory is used to facilitate discussions between those with limited energy reserves and those without.

    https://butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory/

    http://b12patch.com/blog/the-spoon-theory-and-pernicious-anemia-are-you-a-spoonie/
    ...Since its inception, the Spoon Theory has gained massive appeal. Not only has it enabled many chronically fatigued patients (like pernicious anemia sufferers) to cope with their ailments, but it has also broadened awareness for the many illnesses that fall under the category of “invisible diseases,” including:
  • collectingblues
    collectingblues Posts: 2,541 Member
    psuLemon wrote: »
    Well, its not likely that anemia effects your metabolism but rather your energy which makes it harder to move around a lot.

    Fixing your anemia and addressing your symptoms for your chronic illness should allow you to have more energy which should allow you to move more.

    Consuming foods like dark leafy greens, meat, seafood, and beans can help improve some of your anemia symptoms.

    Precisely what I was going to say. I'm very anemic, and my *metabolism* is fine. The energy balance sucks sometimes, but my metabolism is absolutely not affected by it...
  • psychod787
    psychod787 Posts: 4,099 Member
    Liver.... high iron.... greens....
  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    ... This is roughly the sort of thing I had in mind, only more... peopley...

    https://www.ncbi.nlm.nih.gov/m/pubmed/6742115
  • Luke_rabbit
    Luke_rabbit Posts: 1,031 Member
    Target (possibly only Super Target) sells blackstrap molasses in a small bottle, if you want to give it a try without ordering several bottles online. Makes a decent smoothie with pumpkin, greens, pp spice, etc. I don't like super sweet smoothies, so others may want to add extra sweetener.
  • lynn_glenmont
    lynn_glenmont Posts: 10,097 Member
    kshama2001 wrote: »
    kshama2001 wrote: »

    I'm anemic myself and while I get extremely fatigued when it slips out of control, I haven't been considering it a slow metabolism, or a case of my metabolism needing repair, but simply fatigue due to insufficient hemoglobin to carry oxygen around efficiently.

    So I focus my efforts on getting my iron back up.

    I was first diagnosed with anemia over 30 years ago, but now that I am perimenopausal, with large uterine fibroids and very heavy periods, it takes more work to manage.
    1. I am currently taking iron bisglycinate. This doesn't give me the constipation or upset stomach side effects that other forms of iron can cause. The first two forms of iron I got from the VA were ineffective at getting both my iron and energy levels back up.
    2. Here is my new go-to dinner for the week of my period: https://www.allrecipes.com/recipe/186691/lisas-favorite-carne-asada-marinade/ I use chuck stew beef and cook it on Low in my crock pot for @ 8 hours.
    3. For lunch during my period I eat Wellshire Liverwurst; 2 oz = 35% RDA iron. If I can't make it to Whole Foods I get Boar's Head Liverwurst, 2 oz = 25% RDA iron. (For people who want more iron but don't like liver - neither do I; can't stand the stuff, but I do like liverwurst. Wellshire also makes turkey liverwurst. Less iron, but also less fat and calories. Last I checked this brand was exclusive to Whole Foods.)
    4. I've added chicken liver pate into the lunch rotation: https://cooking.nytimes.com/recipes/1012954-creamy-chicken-liver-pate 2 oz = 22% RDA iron (but a lot less calories and fat than liverwurst)
    5. Iron rich foods: https://www.redcrossblood.org/donate-blood/blood-donation-process/before-during-after/iron-blood-donation/iron-rich-foods.html (I discount foods that were fortified with iron as presumably the food manufacturers use cheap and potentially ineffective forms of iron.)
    6. I also mix 1 T of blackstrap molasses into a cup of warm water every morning. That gives me 20% RDA. Here's what I order https://smile.amazon.com/Wholesome-Sweeteners-Organic-Molasses-Pack/dp/B001M0G2PO/ but caution - this brand can leak, so best to not get anything else with that order. It was the cheapest, so I continued to put up with it. (Plus last time Amazon just credited me for the whole thing.) However, I see the price has almost doubled since I last ordered so maybe try to get locally instead. Old price was $21 for three 32 oz bottles. Last time I ordered blackstrap molasses was cheaper here: https://www.iherb.com/pr/Wholesome-Sweeteners-Inc-Organic-Molasses-Unsulphured-32-fl-oz-944-ml/34616 (Note: this comes in 16 oz and 32 oz.)
    7. Vitamin C helps with iron absorption and I mix powdered, buffered vitamin C into the molasses "tea" to create a dreadful concoction. https://smile.amazon.com/gp/product/B000I4AIUA/

    Thank you, this is some of the information I was looking for. I already have "pernicious anemia" under control with B12 injections. It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    I didn't know about the molasses, but I have some in the house for baking Christmas cookies. It's available locally at reasonable price, so I'll give that a whirl once I'm done with the static dose prescription supplement experiment I'm running on my body for the doc. ;-)

    :)

    The doctor is currently trying to work out if "regular supplementation" will solve the issue, or if I need something more extreme (Probably. My body does nothing by halves.). She's also trying to figure out if I'm *losing blood* somewhere or if I'm just not doing what needs to be done with the nutrients in my diet. For now, I'm on a prescription dose of ferrous sulfate and vitamin C for a month before another ferratin (and other) test to see if the problem is uptake or output or what.

    My pleasure!

    Note: it is blackstrap molasses, not regular, and not great for cooking as it is lower in sugar and so somewhat bitter. I ruined gingerbread with it once, and did not try to cook with it again. Wholesome Sweeteners has 20% RDA per T but many brands have less.

    Between supplements and food I have to take about 400% RDA of iron to stay in Low Normal.

    What is the form of iron that you are currently taking?

    Just going to add that if you drink coffee with sugar, you might try substituting blackstrap molasses for all or part of it. Coffee is naturally bitter, so the flavors may meld better. It's the only sweetener I can stand in coffee (in small amounts), as I've never liked sugar mucking up my coffee. (So, my view of the whole subject may be a little skewed. :smile: )
  • lynn_glenmont
    lynn_glenmont Posts: 10,097 Member
    boldknee wrote: »
    Target (possibly only Super Target) sells blackstrap molasses in a small bottle, if you want to give it a try without ordering several bottles online. Makes a decent smoothie with pumpkin, greens, pp spice, etc. I don't like super sweet smoothies, so others may want to add extra sweetener.

    I like it in smoothies as well. And as the sweetener for oatmeal and other hot cereals.
  • Orphia
    Orphia Posts: 7,097 Member
    edited September 2019
    kshama2001 wrote: »

    I'm anemic myself and while I get extremely fatigued when it slips out of control, I haven't been considering it a slow metabolism, or a case of my metabolism needing repair, but simply fatigue due to insufficient hemoglobin to carry oxygen around efficiently.

    So I focus my efforts on getting my iron back up.

    I was first diagnosed with anemia over 30 years ago, but now that I am perimenopausal, with large uterine fibroids and very heavy periods, it takes more work to manage.
    1. I am currently taking iron bisglycinate. This doesn't give me the constipation or upset stomach side effects that other forms of iron can cause. The first two forms of iron I got from the VA were ineffective at getting both my iron and energy levels back up.
    2. Here is my new go-to dinner for the week of my period: https://www.allrecipes.com/recipe/186691/lisas-favorite-carne-asada-marinade/ I use chuck stew beef and cook it on Low in my crock pot for @ 8 hours.
    3. For lunch during my period I eat Wellshire Liverwurst; 2 oz = 35% RDA iron. If I can't make it to Whole Foods I get Boar's Head Liverwurst, 2 oz = 25% RDA iron. (For people who want more iron but don't like liver - neither do I; can't stand the stuff, but I do like liverwurst. Wellshire also makes turkey liverwurst. Less iron, but also less fat and calories. Last I checked this brand was exclusive to Whole Foods.)
    4. I've added chicken liver pate into the lunch rotation: https://cooking.nytimes.com/recipes/1012954-creamy-chicken-liver-pate 2 oz = 22% RDA iron (but a lot less calories and fat than liverwurst)
    5. Iron rich foods: https://www.redcrossblood.org/donate-blood/blood-donation-process/before-during-after/iron-blood-donation/iron-rich-foods.html (I discount foods that were fortified with iron as presumably the food manufacturers use cheap and potentially ineffective forms of iron.)
    6. I also mix 1 T of blackstrap molasses into a cup of warm water every morning. That gives me 20% RDA. Here's what I order https://smile.amazon.com/Wholesome-Sweeteners-Organic-Molasses-Pack/dp/B001M0G2PO/ but caution - this brand can leak, so best to not get anything else with that order. It was the cheapest, so I continued to put up with it. (Plus last time Amazon just credited me for the whole thing.) However, I see the price has almost doubled since I last ordered so maybe try to get locally instead. Old price was $21 for three 32 oz bottles. Last time I ordered blackstrap molasses was cheaper here: https://www.iherb.com/pr/Wholesome-Sweeteners-Inc-Organic-Molasses-Unsulphured-32-fl-oz-944-ml/34616 (Note: this comes in 16 oz and 32 oz.)
    7. Vitamin C helps with iron absorption and I mix powdered, buffered vitamin C into the molasses "tea" to create a dreadful concoction. https://smile.amazon.com/gp/product/B000I4AIUA/
    Thank you, this is some of the information I was looking for. I already have "pernicious anemia" under control with B12 injections. It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    I didn't know about the molasses, but I have some in the house for baking Christmas cookies. It's available locally at reasonable price, so I'll give that a whirl once I'm done with the static dose prescription supplement experiment I'm running on my body for the doc. ;-)

    :)

    The doctor is currently trying to work out if "regular supplementation" will solve the issue, or if I need something more extreme (Probably. My body does nothing by halves.). She's also trying to figure out if I'm *losing blood* somewhere or if I'm just not doing what needs to be done with the nutrients in my diet. For now, I'm on a prescription dose of ferrous sulfate and vitamin C for a month before another ferratin (and other) test to see if the problem is uptake or output or what.


    Just quoting @kshama2001's useful post again.

    And this part of your (the OP's) post:

    "It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    How long have you been having the B12 injections?

    Any folate supplementation?

    What "normal iron-containing things" do you eat?

    Since you're here on MFP, have you been trying to lose weight, and if so, for how long, how much do you weigh, and how much were you losing per week?
  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    Orphia wrote: »
    Just quoting @kshama2001's useful post again.

    And this part of your (the OP's) post:

    "It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    How long have you been having the B12 injections?

    Any folate supplementation?

    What "normal iron-containing things" do you eat?

    Since you're here on MFP, have you been trying to lose weight, and if so, for how long, how much do you weigh, and how much were you losing per week?

    I've been on B12 injections for 5-6 years with daily prescription folate supplementation. For the most part, I *got on* MFP specifically for the purpose of logging my food and exercise to prove to my doctor that *something was not right* and I was *not* some kind of weird hypochondriac.

    I have none of the things they normally look for in a patient with pernicious anemia, so getting someone to *listen to me* about the fact that I had neuropathy in my legs from the butt down was like pulling teeth.

    I don't necessarily use MFP to *lose* weight. With the B12 anemia, I lost 23 lbs for "no reason." My appetite comes and goes and sometimes I'll go an entire day with about 500 calories and totally not notice if I'm not paying attention. I have hypothyroidism as well, and will sometimes retain water if my thyroid replacement isn't right - easily piling on 15 lbs of water weight over the course of a 2 week camping trip. I just generally have to manually track all the things because my body doesn't really seem to automate very much without ridiculous amounts of supervision.

    I currently have my food level set to lose 1.5 lbs per week on MFP and shoot for somewhere around that number of calories as my minimum, and my TDEE as a maximum, though I do feel like the input from Google Fit is overestimating the number of calories I burn walking around, so I'm not persistently eating all those calories back. (Also, I kind of feel nauseated all the time, so...) I've ordered a replacement Fitbit, as that product seems to have worked well for me in that past, but when the battery died on the last one a few years ago, I didn't replace it because I seemed relatively stable at the time. Anyway, I'm supposed to take it easy for the next month on weight lifting, per the doctor's request, and the iron supplement is not easy on my stomach, so I'm kind of just logging stuff to keep track and eating what I need to eat to keep my guts comfortable.

    My current weight is hovering around 170 and I tend to feel best at around 145, though I'm only 5'4. Without supervision, I tend to "set" at 152-154. At 135 I look like a twig and the 125 recommended by some medical providers is just NO.

  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    Orphia wrote: »
    Just quoting @kshama2001's useful post again.

    And this part of your (the OP's) post:

    "It would appear though, that my uptake of anything other than fat is less than ideal, since now my iron has tanked, despite being a happy little omnivore with regular meals of the normal iron-containing things, and no period unless I forget to take my pill.

    How long have you been having the B12 injections?

    Any folate supplementation?

    What "normal iron-containing things" do you eat?

    Since you're here on MFP, have you been trying to lose weight, and if so, for how long, how much do you weigh, and how much were you losing per week?

    I've been on B12 injections for 5-6 years with daily prescription folate supplementation. For the most part, I *got on* MFP specifically for the purpose of logging my food and exercise to prove to my doctor that *something was not right* and I was *not* some kind of weird hypochondriac.

    I have none of the things they normally look for in a patient with pernicious anemia, so getting someone to *listen to me* about the fact that I had neuropathy in my legs from the butt down was like pulling teeth.

    I don't necessarily use MFP to *lose* weight. With the B12 anemia, I lost 23 lbs for "no reason." My appetite comes and goes and sometimes I'll go an entire day with about 500 calories and totally not notice if I'm not paying attention. I have hypothyroidism as well, and will sometimes retain water if my thyroid replacement isn't right - easily piling on 15 lbs of water weight over the course of a 2 week camping trip. I just generally have to manually track all the things because my body doesn't really seem to automate very much without ridiculous amounts of supervision.

    I currently have my food level set to lose 1.5 lbs per week on MFP and shoot for somewhere around that number of calories as my minimum, and my TDEE as a maximum, though I do feel like the input from Google Fit is overestimating the number of calories I burn walking around, so I'm not persistently eating all those calories back. (Also, I kind of feel nauseated all the time, so...) I've ordered a replacement Fitbit, as that product seems to have worked well for me in that past, but when the battery died on the last one a few years ago, I didn't replace it because I seemed relatively stable at the time. Anyway, I'm supposed to take it easy for the next month on weight lifting, per the doctor's request, and the iron supplement is not easy on my stomach, so I'm kind of just logging stuff to keep track and eating what I need to eat to keep my guts comfortable.

    My current weight is hovering around 170 and I tend to feel best at around 145, though I'm only 5'4. Without supervision, I tend to "set" at 152-154. At 135 I look like a twig and the 125 recommended by some medical providers is just NO.

  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    ... So my connection to the forum seems to have sneezed my reply to the board in triplicate due to some kind of internet hiccough. Sorry.
  • ElizabethKalmbach
    ElizabethKalmbach Posts: 1,415 Member
    At any rate, my goals are to figure out why I've got muscles cramping at every sudden movement, can't think, am persistently cold, and have had a headache for a month. Also, I put on 12 lbs in a month. Is it water? Is it fat? I won't really know until the scale drops or doesn't. I still have ankles, and they're usually the first thing to go with thyroid related edema. Oh, and my insomnia is back and that's annoying, too. I keep getting up at 4:00 in the morning and the time I get up keeps getting earlier and earlier, which is worrisome. I had thought I was *finally* going to start sleeping 8 hours a night like everyone else a few months ago when I started getting tired early in the evening, but apparently, that was a symptom of whatever woes I'm having too.

    Obviously, some or most of the symptoms are related to iron deficiency, but why am I iron deficient? I don't have a period or an ulcer, and I'm not vegetarian. What can I do to keep from piling on these annoying dietary problems? Why do I even eat if I'm not absorbing anything from food? HOW AM I EVEN SUPPOSED TO EAT WITH ALL THESE THINGS I'M SUPPOSED TO TAKE ON AN EMPTY STOMACH, BUT NEVER TOGETHER? My stomach can't always be empty.

    ^^Probably a little over dramatic, but I'm so freaking frustrated with attempting to stay both "alive" and "healthy." I'm compliant. I follow directions from the doctor well, and bits of me just keep falling off.

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